Purpura Giulia, Cerroni Francesco, Carotenuto Marco, Nacinovich Renata, Tagliabue Luca
School of Medicine and Surgery, University of Milano Bicocca, 20900 Monza, Italy.
Clinic of Child and Adolescent Neuropsychiatry, Università degli Studi della Campania "Luigi Vanvitelli", 81100 Caserta, Italy.
Children (Basel). 2022 Mar 14;9(3):408. doi: 10.3390/children9030408.
Sensory Processing Disorders (SPDs) define dysfunctions in modulating, organising, and using information from several sensory channels for regulating motor, behavioural, emotional and attention responses. Although SPD can be identified also as an isolated condition in young children, its presence in Autism Spectrum Disorder (ASD) population is really frequent. The study purpose is to explore the SPD clinical expression and the putative correlation with several behavioural aspects both in children with ASD and in those with isolated SPD. Therefore, 43 preschool-aged children (25 ASD vs. 18 SPD) were recruited, and their parents completed three questionnaires (Developmental Profile-3, Sensory Processing Measure-Preschool, Repetitive Behaviour Scale-Revised) to evaluate behavioural alterations and developmental levels. The main result is that both ASD and SPD groups had significantly sensory-related behavioural symptoms, although ASD children seem to be more impaired in all areas. Several significant correlations were found between sensory processing difficulties and repetitive behaviours, but in the SPD group a specific relationship between Body Awareness and Ritualistic/Sameness Behaviour was found. Conversely, in the ASD group, more diffuse interlinks between sensory processing difficulties and motor behaviours were significant. In conclusion, the present study confirms the key role of sensory-motor skills in early diagnosis and intervention among children at risk for neurodevelopmental disorders.
感觉处理障碍(SPD)指在调节、组织和利用来自多个感觉通道的信息以调节运动、行为、情绪和注意力反应方面存在功能障碍。尽管SPD在幼儿中也可被识别为一种孤立的病症,但其在自闭症谱系障碍(ASD)人群中非常常见。本研究的目的是探讨ASD儿童和孤立性SPD儿童中SPD的临床表型以及与若干行为方面的假定相关性。因此,招募了43名学龄前儿童(25名ASD儿童与18名SPD儿童),他们的父母完成了三份问卷(《发展概况-3》、《感觉处理量表-学龄前版》、《重复行为量表-修订版》)以评估行为改变和发育水平。主要结果是,ASD组和SPD组均有明显的感觉相关行为症状,尽管ASD儿童在所有领域似乎受损更严重。在感觉处理困难与重复行为之间发现了若干显著相关性,但在SPD组中发现身体意识与仪式化/相同行为之间存在特定关系。相反,在ASD组中,感觉处理困难与运动行为之间更广泛的相互联系具有显著性。总之,本研究证实了感觉运动技能在神经发育障碍高危儿童的早期诊断和干预中的关键作用。